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SHOPKO PHARMACY 039
NPI 1093766362
Pharmacy - Community/Retail Pharmacy in Lincoln, NE

Active since May 12, 2006
4200 S 27TH ST, LINCOLN, NE 68502(402) 421-2444(402) 421-1782 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 039 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 039 (NPI 1093766362) is a healthcare organization registered as a community/retail pharmacy in Lincoln, Nebraska and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1093766362
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address4200 S 27TH STLincoln, NE 68502-5858
Mailing Address4200 S 27th StLincoln, NE 68502-5858 · (402) 421-2444 · Fax (402) 421-1782
Phone(402) 421-2444
Fax(402) 421-1782
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1093766362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NE · 2677
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
4200 S 27TH ST, Lincoln, NE 68502
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Other Names 1

Doing Business AsShopko Pharmacy 039

Other Identifiers 5

Medicaid10025413700NE
Medicaid10025074200NE
Medicare ID-Type Unspecified1111590037
Other2811140Ncpdp
Medicare NSC5695760064

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2555
DR. ANTHONY JAMES MANTHEY O.D.
Optometrist
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2555
SHOPTIKAL LLC
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 489-8897
SHOPTIKAL LLC
Eyewear Supplier
4200 S 27TH ST
LINCOLN, NE 68502
Lancaster County (402) 421-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1093766362. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Pharmacy 039.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 4200 S 27th St, Lincoln, NE 68502. The listed phone number is (402) 421-2444.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.